,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #hcce  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #af1 #bjbf,mr4 
,k5n$y ( ,utah introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on !       
,judici>y  ,a ,,bill  ,to am5d !        
,immigration & ,nationality ,act to re=m
 ! ,h-#a;,b nonimmigrant visa program1 )
 exceptions = c]ta9 vital pr(essions1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,prioritiz+        
,res\rces & ,opportunities = ,tal5t1    
,employm5t1 ,compliance1 & ,t]ms ,act ( 
#bjbf or ! ,,protect ,act ( #bjbf4  #b4 
,provisions relat+ to ,h-#a;,b          
nonimmigrant petitions ,section #bab7n7 
( ! ,immigration & ,nationality ,act 7#h
 ,u4,s4,c4 #aahb7n77 is am5d$ z foll[s3 
7#a7 ,wage requirem5t ,9 subp>agraph    
7,a7 ( p>agraph 7#a71 to read z foll[s3 
7,a7 ,! employ] has (f]$1 & w cont9ue to
 (f] = ! duration ( ! au?oriz$ p]iod (  
employm5t1 an annual wage to ! ,h-#a;,b 
nonimmigrant t is n less ?an ! greate/ (
 ! foll[+3 7i7 ,! annual wage paid by ! 

employ] to a ,unit$ ,/ates citiz5 or    
lawful p]man5t resid5t :o p]=m$ ! same  
or sub/antially simil> duties dur+ !    
#b-ye> p]iod imm$iately prec$+ ! fil+ ( 
! application4  7ii7 #ajj1jjj1 z adju/$ 
annually = inflation beg9n+ on ! fir/   
,july #a foll[+ ! date ( enactm5t ( ?is 
,act1 by increas+ su* am\nt by !        
cumulative p]c5tage *ange 9 ! ,consum]  
,price ,index = ,all ,urban ,consum]s   
7,,cpi-,u7 s9ce ! date ( enactm5t4  4   
7#b7 ,?ird-p>ty worksite limitations2   
comp5sation-bas$ prioritization ,by add+
 at ! end ! foll[+3  7#f7 ,limitation on
 visa validity ,an ,h-#a;,b visa issu$  
pursuant to an application fil$ "u      
p>agraph 7#a7 %all be valid = a p]iod n 
to exce$ #a ye> if any portion ( ! "w   
p]=m$ by ! ,h-#a;,b nonimmigrant w take 
place at a ?ird-p>ty worksite4  7#g7    
,conditions = ?ird-p>ty placem5t ,no    
,h-#a;,b visa may be issu$1 & no        
,h-#a;,b /atus may be grant$1 if any    
portion ( ! "w w be p]=m$ at a ?ird-p>ty
 worksite unless ! "w assignm5t--  7,a7 

is cle>ly def9$ & n speculative2 &  7,b7
 is expect$ to cont9ue = ! full duration
 ( employm5t reque/$ 9 ! petition4  7#h7
 ,petition prioritization ,9 adjudicat+ 
,h-#a;,b petitions dur+ a fiscal ye>1 ! 
,secret>y %all prioritize approval (    
petitions (f]+ high] levels (           
comp5sation ov] petitions (f]+ l[]      
levels ( comp5sation1 )\t reg>d to !    
ord] 9 :i* su* petitions 7 fil$4  4  #c4
 ,heal? c>e p]sonnel exemption ,section 
#bhf ( ! ,immigration & ,nationality    
,act 7#h ,u4,s4,c4 #acef7 is am5d$ by   
ins]t+ aft] subsection 7w7 ! foll[+3    
7x7 ,exemption = heal? c>e p]sonnel     
7#a7 ,9 g5]al ,not)/&+ any o!r provision
 ( law1 any fee or sur*>ge impos$ on a  
petition] or b5efici>y 9 connection ) ! 
fil+ ( a new ,h-#a;,b visa petition     
7includ+ any fee or sur*>ge e/abli%$ by 
presid5tial proclamation1 regulation1 or
 guidance on or aft] ,septemb] #ai1     
#bjbe7 %all n apply to a petition fil$  
on behalf ( a heal? c>e work] describ$ 9
 p>agraph 7#b74  7#b7 ,eligibility ,to  

be eligible = an exception "u p>agraph  
7#a71 ! petition] %all submit1 9 su* =m 
& mann] z ! ,secret>y ( ,homel&         
,security may require1 evid5ce t--  7,a7
 ! petition] has made a good fai? ef=t  
to recruit & hire a ,unit$ ,/ates citiz5
 or lawful p]man5t resid5t = ! position 
= :i* ! ,h-#a;,b work] is s\ght2 &  7,b7
 ! petition] 0 unable to fill su*       
position ) a qualifi$ ,unit$ ,/ates     
citiz5 or lawful p]man5t resid5t aft]   
su* recruitm5t ef=ts4  7#c7 ,/&>ds &    
proc$ures = submission ( docum5tation ,!
 ,secret>y %all by rule e/abli% /&>ds & 
proc$ures = petition]s to submit        
docum5tation demon/rat+ compliance ) !  
requirem5ts set =? 9 p>agraph 7#b71     
includ+ evid5ce ( job po/+s1 outrea* to 
dome/ic work]s1 & o!r recruitm5t        
activities z det]m9$ appropriate by !   
,secret>y4  7#d7 ,def9ition ,= purposes 
( ?is section1 ! t]m heal? c>e work]    
means an individual :o--  7,a7 is seek+ 
classification z a nonimmigrant ,h-#a;,b
 work]2 &  7,b7 is be+ petition$ =      

employm5t z a physician1 regi/]$ nurse1 
lic5s$ !rapi/1 ph>maci/1 cl9ical        
laboratory pr(essional1 advanc$ practice
 provid]1 or o!r direct pati5t c>e      
pr(essional 9 a heal? c>e facility or   
sy/em1 z def9$ "u #db ,u4,s4,c4 section 
#cjjs-#c ( ! ,public ,heal? ,s]vice     
,act4  7#e7 ,rule ( con/ruction ,no?+ 9 
?is subsection %all be con/ru$ to limit 
! au?ority ( ! ,secret>y ( ,homel&      
,security to e/abli% additional         
exemptions or to def9e categories ?r\gh 
guidance consi/5t ) ?is ,act4  4  #d4   
,effective date ,?is ,act %all take     
effect on ! date ( enactm5t & %all apply
 to any ,h-#a;,b visa petition fil$ on  
or aft] su* date4